腹腔镜胃十二指肠溃疡穿孔修补36例临床观察  

Laparoscopic repair of peptic ulcer perforation:a report of 36 cases

作　　者：张文革[1] 张辉[1] 王锋[1] 

机构地区：[1]陕西省宝鸡市中医医院普外科,721001

出　　处：《蚌埠医学院学报》2011年第11期1206-1207,共2页Journal of Bengbu Medical College

摘　　要：目的:观察腹腔镜胃十二指肠溃疡穿孔修补的效果。方法:分析74例胃十二指肠溃疡穿孔修补术患者的临床资料,其中行腹腔镜胃十二指肠穿孔修补术(腔镜组)36例,开腹手术穿孔修补术(开腹组)38例。观察2组患者的手术时间、出血量及术后胃肠道恢复时间、疼痛程度、并发症发生率、住院时间、住院费用等。结果:所有患者手术均顺利完成,腔镜组无中转开腹。2组患者在手术时间、术中出血量、术后疼痛评分、胃肠功能恢复时间、住院时间及住院费用差异均有统计学意义(P<0.01),术后并发症发生率差异无统计学意义(P>0.05)。结论:腹腔镜溃疡穿孔修补术具有创伤小、术后恢复快和并发症发生率低等优点,是治疗胃十二指肠溃疡穿孔的一种安全有效的术式,值得临床推广。Objective：To investigate the clinical effect of laparoscopic reparation on peptic ulcer perforation.Methods：The clinical data of 74 cases were retrospectively reviewed from 2005 to 2010.Thirty-six cases were performed with laparoscopic repair（laparoscopic group） and 38 cases underwent open surgery（open surgery group）.The mean blood loss,mean surgery time,recovery of the stomach and intestines function,hospital stay,hospital cost and the rate of complications were observed.Results：Compared with the open surgery group,the mean blood loss,mean surgery time,recovery of the stomach and intestines function,and hospital stay in laparoscopic group had statistically significant difference（P0.01）,the rate of complications in laparoscopic group had no statistically significant difference（P0.05）.Conclusions：The laparoscopic repair in patients with peptic ulcer perforation is safety and effective,so it is worth to recommend its clinical use.

关 键 词：消化性溃疡穿孔/外科手术 腹腔镜 修补术 

分 类 号：R656.62[医药卫生—外科学]